Andrew Worster
@ProfBEEM
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#BEEM #EBM #CME #FOAMed Professor, McMaster University
Hamilton, Ontario
Joined February 2011
#COVID-19 https://t.co/bUpDcTfj5W A great review on Diagnosing COVID‐19 in the Emergency Department. @EddyLang1 @shawnkdowling @First10EM @TChanMD @DrShawnQI @patockaem @BlairBigham @Brent_Thoma
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Countdown to #FVBEEM19! Join us for #EBM #CME! @First10EM @kerstindewit @EMCases @SuneelUpadhye @NiagaraEMS @UBuffalo @MacEmerg @anxiousmedic @WelsfordM
https://t.co/W6kJoUUuuQ
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Always a fun learning experience!
#FVBEEM19 early bird deadline quickly approaching! Hurry and book by June 30 to claim your $100 CND discount! https://t.co/W6kJoUCTDi … #EBM @SuneelUpadhye @First10EM @WesternUEmerg @TheSGEM @EMO_Daddy @USaskEM @UMEmergencyMed @UtahEmergency @ALiEMteam @361Joules @CVarnerEmerg
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#FVBEEM19 early bird deadline quickly approaching! Hurry and book by June 30 to claim your $100 CND discount! https://t.co/W6kJoUCTDi … #EBM @SuneelUpadhye @First10EM @WesternUEmerg @TheSGEM @EMO_Daddy @USaskEM @UMEmergencyMed @UtahEmergency @ALiEMteam @361Joules @CVarnerEmerg
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It is a huge honour to be recognized by such an outstanding group of residents. In all honesty - THEY deserve an award. I am so grateful to be part of the most supportive program and department in all of emergency medicine @emergmedottawa
Congratulations to @emergmedottawa program director @ThurgurTox, the recipient of the PARO 2019 Lois H Ross Resident Advocate Award! Great recognition for a great PD’s tireless dedication to trainees. #meded
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That’s a lot of color!
My retinae are still recovering...
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Indeed.
@ProfBEEM @BEEMcme @EddyLang1 @DrShawnQI @SMcLeod_SREMI @BlairBigham @SAEMEBM Looking at COIs can feel like the movie Inception. So complicated and many layers to consider.
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Yes, this is concerning and, as healthcare providers and consumers of the medical literature, we must pressure editors to address these issues. @SAEMEBM @TheSGEM @First10EM @SAEMEBM
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Ah, but who are the authors of those studies? Industry employees or independent medical researchers? There is likely a subgroup difference. @BEEMcme @EddyLang1 @DrShawnQI @SMcLeod_SREMI @BlairBigham @SAEMEBM
@ProfBEEM @SAEMEBM @EddyLang1 @shawnkdowling @TChanMD @BlairBigham Industry sponsored studies are not necessarily wrong but it does make me more skeptical of the results. "strong and consistent evidence shows that industry-sponsored research tends to draw pro-industry conclusions”. https://t.co/7YfQF9g1Y1
@JeanneLenzer1
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The top medical researchers in the world often advise industry on studies that benefit patients. This does not make them corrupt or in the pockets of industry. COI always required. @SAEMEBM @EddyLang1 @shawnkdowling @TChanMD @BlairBigham
@EddyLang1 @First10EM @DanLane911 @EMNerd_ @srrezaie @Rick_Pescatore @ProfBEEM @BEEMcme @SAEMEBM @EMSwami @NICEcomms @CAEP_Docs @EmergencyDocs @acemonline They are looking at the same evidence and come up with a different interpretation (just like us). I agree with my #EBM mentor to look beyond the authors' conclusions. The extensive COI from Emberson make me more skeptical of their "spin" @JeanneLenzer1 @reverendofdoubt
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This is what academic debate is all about: progress.
@EddyLang1 @First10EM @DanLane911 @EMNerd_ @srrezaie @Rick_Pescatore @ProfBEEM @BEEMcme @SAEMEBM @EMSwami @NICEcomms @CAEP_Docs @EmergencyDocs @acemonline @JeanneLenzer1 @reverendofdoubt @accpchest @QuICR_Stroke @GRADE_WG I think we made some progress with our twitter discussion. Thank you Eddy for being part of the conversation. @NightShiftMD
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The idea of an independent research body that designs and executes trials using industry funds has been around for awhile but never taken off.
@EddyLang1 @TheSGEM @DanLane911 @EMNerd_ @srrezaie @Rick_Pescatore @ProfBEEM @BEEMcme @SAEMEBM @EMSwami @NICEcomms @CAEP_Docs @EmergencyDocs @acemonline @JeanneLenzer1 @reverendofdoubt @accpchest @QuICR_Stroke @GRADE_WG The real long term answer is to completely remove financial COI from medical research Companies shouldn't be testing their own drugs or products
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Wise words. Be an informed consumer of the medical literature: #BEEM
@EddyLang1 @First10EM @EMNerd_ @srrezaie @Rick_Pescatore @ProfBEEM @BEEMcme I hope the message can be: read the primary literature, learn to do critical appraisal, be skeptical, reflect on the clinical application, consider your our experience and ask the patients’ what they value #EBM @SAEMEBM @EMSwami #batdoc
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"it all depends" The interventions between the administration of plasma and the 30-day follow-up likely impacted on the outcome. @acemonline @BlairBigham @SAEMEBM @anxiousmedic @Brent_Thoma @WelsfordM
Last day at #SunBEEM19! Dr. Justin Yan asks: Does the prehospital administration of thawed plasma reduce mortality in trauma patients at risk for hemorrhagic shock? @ProfBEEM @shawnkdowling @DrShawnQI @TChanMD @InnovaEM @SAEMEBM @EddyLang1 @Brent_Thoma
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And nor should babies have these problems. #BEEM @acemonline @SAEMEBM @TChanMD @BEEMcme @drsaminaali @shawnkdowling @NPoonai @WeAreCanadiEM @CMA_Docs @emresidents @CAEP_Docs
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Communication is key to successful patient care! #BEEM @NightShiftMD @MDaware @Rick_Pescatore @First10EM @TChanMD @Brent_Thoma @emresidents @BlairBigham @anxiousmedic @ChooseWiselyCA
Shared Decision Making: A Model for Clinical Practice #DecisionAids #SharedDeciosionMaking
https://t.co/DAoSN76RKo
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Another challenge to practicing modern medicine. More about these #EBM issues from #BEEM
@BEEMcme @marcel_mond @acemonline @shawnkdowling @DrShawnQI @TChanMD @WelsfordM @M_Lin @JulianOwenEM_CC @First10EM @Brent_Thoma @FAdamakos @SMcLeod_SREMI @SAEMEBM
“30% of tests, procedures & treatments associated with eight common medical tests are potentially unnecessary. The study confirms what Campbell and other doctors involved in the @ChooseWiselyCA campaign... have been saying for years.”
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This is confirmation of an article in the @BEEMcme Journal by @JestinCarlson
https://t.co/rj8wRXBg15
@acemonline @FAdamakos @ALiEMteam @marcel_mond @JSAudette @TChanMD @JulianOwenEM @EMResUBC @DrShawnQI @EMCases @EBmedicine @M_Lin @AudreyATB @SAEMEBM
#SkiBeem19 followers. A rationale clinical exam paper on the upper lip bite test that was covered last week. Way to go @BEEMcme @HeatherM211 @patockaem @ProfBEEM @EddyLang1 @SuneelUpadhye
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Even #batdoc needs some downtime once in a while. #SkiBEEM20 at #SunPeaks is ideal for #CME and fun on the slopes and Canada's 2nd largest #ski resort. @patockaem @EMResUBC @shawnkdowling @EddyLang1 @361Joules @drsaminaali @First10EM @acemonline
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The elderly will continue to represent a sizable proportion of our ED populations for the next 20 years; we need to learn how to best assess and manage them as we did with children. @SAEMEBM @AudreyATB @marcel_mond @TheSGEM @BEEMcme @M_Lin @WelsfordM
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